Percutaneous Closure of Aortopulmonary Fistula During Transcatheter Pulmonary Valve Implantation With Ventricular Septal Occluder Device

Aortopulmonary communication after percutaneous pulmonary valve implantation is an uncommon complication. Associated risk factors include acute trauma to the homograft in the setting of aggressive balloon dilatation. A high level of suspicion is required and aortography may be necessary for diagnosis. The presentation can be acute or chronic, and percutaneous approach is possible.